Managed Care Coordinator

Job description:

Our client an established, well-known nonprofit managed healthcare company has an exciting long term temporary managed care coordinator role available.

Pay: $22.00 per hour

Possible hybrid role (pending training)

Performance Standard:

· Receives Care Plan minutes from CM and uploads within 2 business days into Guiding Care as “Case Conference” notes.

· Creates outpatient authorization shells in Guiding Care and sends activity to CM when completed.

· Assigned CM sends the MCC lists of the names of members who have been placed on part B rehab (OT/PT) or part B ST.

· Contacts members PCP office to confirm receipt of documents sent

· Uploads member consents in Guiding Care

· Calls PCP to request labs

· Accurate and timely data entry support as defined by departmental workflows:

· Participates in scheduled team meetings.

· Research, updates, and maintains integrity of team’s files.

· Coordinates all Nurse Practitioner activities including updating/maintaining schedules, on call calendar and billing sheets

· High School Diploma or equivalent; College Degree preferred

· One-year prior managed care experience preferred

· Prior experience in a health care setting preferred

· Familiarity with utilization management/case management